| NPI | 1174089536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162112) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170767) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2020-10-20 |